AntiHypertensive Beta Adrenergic Blockers

PURPOSE OF MEDICATION

Expected Pharmacological Action

Complications

Contraindications/Precautions

Interactions

Medication Administration

Evaluation of Medication Effectiveness

Therapeutic Use

Nursing Interventions

Client Education

1. STUDENT NAME:
2. MEDICATION: Atenolol
3. REVIEW MODULE CHAPTER: PHARM Cht20
4. CATEGORY CLASS: Anti Hypertensive Beta Adrenergic Blockers (Sympatholytics)
5. Therapeutic Use: Hypertension, esp with aldosterone-mediated fluid retention Long term treatment of angina pectoris May be used to prevent reinfarction following an MI
6. Complications: Hypotension Bradycardia Nausea /vomiting
7. Contraindications/Precautions: Contraindicated: Sinus bradycardia; First degree Heart block; Cardiac Failure Shock Precaution: Hhistory of asthma
8. Interactions: *Calcium channel blockers, Verapamil, and diltiazem intensify effects of beta blockers *Other antihypertensives can intensify hypotensive effects
9. Evaluation of Medication Effectiveness: Absence of chest pain Absence of dysrhythmias Normotensive BP Control of heart failure s/s
10. Expected Pharmacological Action: Decreased heart rate Decreased peripheral resistance Decreased BP
11. Nursing Interventions: *Monitor HR before and after administration. Hold medication if HR is below 60 bpm and report. *Monitor BP before and after treatment Monitor for signs of heart failure
12. Medication Administration: Tablets: give one dose per day IV: Administer slowly 1 mg/min
13. Client Education: Do not discontinue without consulting physician. Avoid sudden changes in position. Do not crush or chew extended release tabs. Self monitor BP and HR